Kern - CPT Code List - 2021...KERN_CPT_CODE_REV03262021VER1MC Kern Radiology Scheduling (661)...
Transcript of Kern - CPT Code List - 2021...KERN_CPT_CODE_REV03262021VER1MC Kern Radiology Scheduling (661)...
Kern RadiologyScheduling (661) 324-7000
Fax (661) 334-3164
KernRadiology.comKERN_CPT_CODE_REV03262021VER1MC
Brain .............................................................................Neck (Carotid Arteries) ..................................................Chest Non-Coronary (Pulmonary Arteries) ....................Pelvis .............................................................................Upper Extremity ............................................................Lower Extremity .............................................................Abdominal ....................................................................Abdominal and Pelvis ....................................................Abdominal Aorta-Iliofemoral Runoff ..............................Heart, Coronary Arteries, and Bypass Grafts ..................
70496704987127572191732067370674175741747563575574
CPT CODESAbdomen w/o contrast ................................................. Abdomen w/ contrast ...................................................Abdomen w/o - w contrast ...........................................Pelvis w/o contrast .......................................................Pelvis w/ contrast .........................................................Pelvis w/o - w contrast ...................................................
741817418274183721957219672197
Abdomen-Pelvis
Cervical w/o contrast ....................................................Cervical w/ contrast ......................................................Cervical w/o - w/contrast .............................................Thoracic w/o contrast ...................................................Thoracic w/ contrast .....................................................Thoracic w/o - w contrast ..............................................Lumbar w/o contrast ....................................................Lumbar w/ contrast ......................................................Lumbar w/o - w contrast ..............................................Sacrum w/o contrast ....................................................Sacrum w/ contrast ......................................................Sacrum w/o - w contrast ................................................
721417214272156721467214772157721487214972158721957219672197
Spine
Brain w/o contrast ........................................................Brain w/ contrast ..........................................................Brain w/o - w contrast ..................................................Internal Auditory Canals (IAC’s) w/o - w/ contrast .........3D Rendering (e.g. NeuroQuant) ..................................Orbit, Face, and/or Neck w/o contrast ..........................Orbit, Face, and/or Neck w/ contrast ............................Orbit, Face, and/or Neck w/o - w contrast ....................Pituitary Gland w/o contrast .........................................Pituitary Gland w/ contrast ...........................................Pituitary Gland w/o - w contrast ...................................Temporomandibular Joints (TMJ) .................................
705517055270553705537637770540705427054370551705527055370336
Brain - Face - Neck
PET/CT
CT Combination Codes
Abdomen - Pelvis
Chest
Cardiac
Brain - Face - Neck
Spine
Upper Extremities
Lower Extremities
NON-JOINTS (Humerus, forearm, hand, and brachial plexus)Upper w/o contrast ...................................................... Upper w/ contrast ........................................................Upper w/o - w contrast ................................................ JOINTS (Shoulder, elbow, wrist and fingers ) Upper w/o contrast .....................................................Upper w/ contrast ........................................................Upper w/o - w contrast .................................................
732187321973220
732217322273223
Upper Extremities
NON-JOINTS (Thigh, lower leg and foot) Lower w/o contrast ......................................................Lower w/ contrast ........................................................Lower w/o - w contrast .................................................JOINTS (Hip, knee, ankle and toes) Lower w/o contrast ......................................................Lower w/ contrast ........................................................Lower w/o - w contrast .................................................
737187371973720
737217372273723
Lower Extremities
MRI MRI ANGIOGRAPHY CT
MRI ARTHROGRAPHY
NUCLEAR MEDICINE
Mammography w/Cad when performedWOMEN IMAGING
Brain .............................................................. Skull-base to Mid-thigh ..................................Full Body ........................................................ Axumin (Prostate Cancer) ...............................
A9552 + 78608A9952 + 78815A9552 + 78816A9588 + 78815
Brain w/o contrast ........................................................Brain w/ contrast ..........................................................Brain w/o - w/ contrast .................................................Neck w/o contrast ........................................................Neck w/ contrast ..........................................................Neck w/o - w contrast ....................................................Chest w/o - w contrast ..................................................Upper Extremity w/o - w/ contrast ................................Lower Extremity w/o - w/ contrast ................................Abdomen w/o - w contrast ............................................Pelvis w/o - w contrast ..................................................Spinal Canal w/o - w/ contrast .......................................
Chest, Abdomen, Pelvis w/o contrast ..............Chest, Abdomen, Pelvis w/ contrast ................Chest, Abdomen, Pelvis w/o - w/ contrast .......Abdomen and Pelvis w/o contrast ................................Abdomen and Pelvis w/ contrast ..................................Abdomen and Pelvis w/o - w/ contrast .........................
705447054570546705477054870549715557322573725741857219872159
71250 + 7417671260 + 7417771270 + 74178
741767417774178
Abdomen w/o contrast .................................................Abdomen w/ contrast ...................................................Abdomen w/o - w contrast ...........................................Pelvis w/o contrast .......................................................Pelvis w/ contrast .........................................................Pelvis w/o - w contrast ..................................................
741507416074170721927219372194
Without contrast diagnostic ..........................................With contrast diagnostic ...............................................With and without contrast diagnostic ...........................Low Dose Lung Cancer Screening .................................
71250712607127071271
Calcium Score (w/o contrast study) .............................. 75571
Brain w/o contrast ........................................................Brain w/ contrast ..........................................................Brain w/o - w contrast ..................................................Orbit, Sella, or Ear w/o contrast ...................................Orbit, Sella, or Ear w/ contrast .....................................Orbit, Sella, or Ear w/o - w contrast ..............................Maxillofacial w/o contrast ............................................Maxillofacial w/ contrast ..............................................Maxillofacial w/o - w contrast .......................................Soft Tissue Neck w/o contrast .......................................Soft Tissue Neck w/ contrast .........................................Soft Tissue Neck w/o - w contrast ..................................
704507046070470704807048170482704867048770488704907049170492
Cervical w/o contrast ....................................................Cervical w/ contrast ......................................................Cervical w/o - w contrast ..............................................Thoracic w/o contrast ...................................................Thoracic w/ contrast .....................................................Thoracic w/o - w contrast ...............................................Lumbar w/o contrast ....................................................Lumbar w/ contrast ......................................................Lumbar w/o - w contrast ..............................................
721257212672127721287212972130721317213272133
Upper w/o contrast .....................................................Upper w/ contrast ........................................................Upper w/o - w contrast .................................................
732007320173202
Lower w/o contrast ......................................................Lower w/ contrast ........................................................Lower w/o - w contrast .................................................
737007370173702
MR Upper Extremity Joints .......................................... Injection procedure for Shoulder arthrography or enhanced CT/MRI Shoulder arthrography ...............Injection procedure for Elbow arthrography .................Injection procedure for Wrist arthrography ..................Fluoroscopic guidance ..................................................MR Lower Extremity Joints ..........................................Injection procedure for Hip arthrography; without anesthesia ......................................................Injection procedure for contrast Knee arthrography or contrast enhanced CT/MRI Knee arthrography ............Injection procedure for Ankle arthrography ..................Fluoroscopic guidance ..................................................
73222+
23350242202524677002
73722+
27093
273692764877002
SCREENINGMammogram (2D Mammo) (Bilateral) ........................Tomosynthesis w/ 2D Mammogram(3D Mammo) (Bilateral) .......................... ..... DIAGNOSTIC EXAMSMammogram (2D Mammo) Bilateral ...........................Mammogram (2D Mammo) Unilateral .........................Tomosynthesis (3D Mammo) w/ Bilateral 2D Mammo ...............................Tomosynthesis (3D Mammo ) w/ Unilateral 2D mammo ..............................
77067
77063 + 77067*
7706677065
77062 + 77066*
77061 + 77065*
Mammo Stereotactic Bx (1 Location) ............................ EACH Additional Bx Localization .................Mammo Needle Localization ........................................ EACH Additional Needle Localization .........Stereo Needle Localization (1 Location) ........................ EACH Additional Needle Location ...............Breast Ultrasound Core Bx (1 Location) ......................... EACH Additional Bx Location ......................Breast MR Core Bx (1 Location) .................................... EACH Additional Bx Location ......................US Guided Bx Lymph Node (Axilla) ..............................Placement Soft Tissue Localization Device (Lymph nodes ONLY) ...................................................Wire Localization (US Guided) only ............................... EACH Additional Localization ......................MR Needle Localization (1 Location) ............................. EACH Additional Needle Location ...............Cyst Aspiration (US Guided).............................. EACH Additional Location ...........................Ductography (US Guided) ................................Ductography-Multi. (US Guided) .....................Saline Infusion Sonohysterosalpingography ....
1908119082192811928219283192841908319084190851908638505
1003519285192861928719288
19000 + 7694219001
19030 + 7705319030 + 7705458340 + 76831
Breast Bilateral w/o contrast ........................................Breast Bilateral w/o - w contrast ...................................
7704777049
Thorax w/o contrast .....................................................Thorax w/ contrast .......................................................Thorax w/o - w contrast ................................................
*3D Mammo exams require authorization to be submitted using the CPT codefor the traditional 2D exam plus the CPT for the Tomosynthesis (3D Exam)
Breast
Chest 715507155171552
Special Studies
CT ANGIOGRAPHY
KERN_CPT_CODE_REV03262021VER1MC
Kern RadiologyScheduling
(661) 324-7000
Fax(661) 334-3164
KernRadiology.com
Femur; 1 view ...............................................................Femur; minimum 2 views .............................................Knee; 1-2 views .............................................................Knee; 3 views ................................................................Knee; 4 or more views; Complete ..................................Knee Bilateral standing .................................................Tibia and Fibula; 2 views ...............................................Ankle; 2 views ...............................................................Ankle; minimum 3 views; Complete ...............................Foot; 2 views .................................................................Foot; minimum 3 views; Complete ................................Calcaneus; 2 views ........................................................Toes; minimum 2 views .................................................Lower Extremity;Infant; minimum 2 views .....................
735517355273560735627356473565 7359073600736107362073630736507366073592
Non-OB Pelvic Ultrasound Limited, Non-OB Pelvic Ultrasound Complete, Transabdominal ...........................................................Pelvic Ultrasound Complete Transabdominal and Transvaginal NON-OB ...............................Retroperitoneal; Complete, Renal/Bladder ..................Retroperitoneal; Limited, Renal ...................................Scrotum and contents ..................................................Non-OB Transvaginal ...................................................OB Transvaginal ...........................................................
76856
76856 + 76830 76770 76775 76870 76830 76817
Abdomen Complete ......................................................Abdomen, Galbladder, Liver Limited .............................Breast Unilateral ...........................................................Nonvascular Extremity Complete ...................................Nonvascular Extremity Limited ......................................Biophysical Profile; w/o non-stress ...............................Thyroid/Head and Neck soft tissue ................................Hysterosonography .......................................................OB Ultrasound <14 weeks Complete .............................. EACH additional gestation ..........................OB Ultrasound <14 weeks Complete, Transabdominal and Transvaginal .............................................OB Ultrasound Limited ...............................................OB Ultrasound follow-up ...............................................OB Ultrasound = or >14 weeks Complete ....................... EACH additional gestation ..........................AFI ................................................................................
76700 76705 76642 76881 76882 76819 76536 76831 7680176802
76801 + 76817 76815 76816 76805 76810 76815
Chest 1 view ..................................................................Chest 2 views .................................................................Chest 3 views .................................................................Chest 4 views .................................................................Rib; Unilateral 2 views ...................................................Ribs; Unilateral w/ chest, minimum 3 views ..................Ribs; Bilateral 3 views ....................................................Ribs, Bilateral w/ chest minimum 4 views ......................Sternum 2 views ............................................................Sternoclavicular Joint or Joints; minimum 3 views ..........
71045 71046 71047 71048 71100 71101 71110 71111 71120 71130
Upper Extremity; Bilateral ..............................................Upper Extremity; Unilateral or Limited ...........................Lower Extremity; Bilateral ..............................................Lower Extremity; Unilateral or Limited ...........................Ankle-Brachial Index (ABI) Limited 1-2 level ...................Ankle-Brachial Index (ABI) Complete 3 or more levels ...
93930 93931 93925 93926 9392293923
Bilateral; Complete ........................................................ 93880
Renal Arteries Complete .................................................Renal Arteries Limited ....................................................
93975 93976
Upper/Lower Extremities-Bilateral .................................Upper/Lower Extremities-Unilateral/Limited .................
93970 93971
Spine 1 view .................................................................Cervical 2-3 views ..........................................................Cervical 4-5 views ..........................................................Cervical 6 or more views ................................................Thoracic 2 views ............................................................Thoracic 3 views ............................................................Thoracic minimum 4 views ............................................Thoracolumbar junction; minimum 2 views ..................Lumbosacral 2 or 3 views ..............................................Lumbosacral minimum 4 views ....................................Lumbosacral with bending views, minimum 6 views .....Lumbosacral; bending views only; 2 to 3 views ..............Sacroiliac Joint < 3 views ................................................Sacroiliac Joint 3 or more views .....................................Sacrum and Coccyx; minimum 2 views ..........................
72020 72040 72050 72052 72070 72072 72074 72080 72100 72110 72114 72120 72200 72202 72220
Abdomen 1 view (KUB) .................................................Abdomen 2 views ..........................................................Abdomen 3 or more views ............................................Abdomen Complete with Single view chest ...................Hip Unilateral 1 view w/ pelvis ......................................Hip Unilateral 2-3 views w/pelvis ..................................Hip Unilateral minimum 4 views w/pelvis .....................Hips Bilateral 2 views w/pelvis ......................................Hips Bilateral 3-4 views w/pelvis ...................................Hips Bilateral minimum 5 views w/pelvis ......................Pelvis 1-2 views w/o hip ................................................Pelvis minimum 3 views ................................................
740187401974021740227350173502735037352173522735237217072190
70100 70110 70120 70130 70140 70150 70160 70030 70200 70210 70220 70250 70260 70328 70330 70360
Mandible <4 views ........................................................Mandible minimum 4 views; Complete .........................Mastoids <3 views .........................................................Mastoids minimum 3 views; Complete ..........................Facial Bones <3 views ...................................................Facial Bones minimum 3 views; Complete .....................Nasal Bones minimum 3 views; Complete .....................Orbits, Pre-MRI Screening Exam ...................................Orbits, minimum 4 views; Complete ..............................Sinus <3 views ..............................................................Sinus minimum 3 views; Complete ................................Skull <4 views ...............................................................Skull minimum 4 views;Complete ..................................TMJ Unilateral ...............................................................TMJ Bilateral ................................................................. Soft tissue Neck .............................................................
Clavicle; Complete .........................................................Scapula; Complete ........................................................Shoulder; 1 view ...........................................................Shoulder; 2 views ..........................................................Acromioclavicular Joints; Bilateral ..................................Humerus; 2 views .........................................................Elbow; 2 views ..............................................................Elbow; minimum 3 views; Complete .............................Forearm 2 views ............................................................Wrist 2 views .................................................................Wrist minimum 3 views; Complete ................................Hand; 2 views ...............................................................Hand; minimum 3 views; Complete ..............................Fingers; minimum 2 views ............................................Upper Extremity Infant minimum 2 views .....................
73000 73010 73020 73030 73050 73060 73070 73080 73090 73100 73110 73120 73130 73140 73092
Bone Age Study 1 view ..................................................Scanogram-Bone length ................................................Bone Survey Limited (metastases) ................................Bone Survey Complete ..................................................Joint Survey Single View 2 or more joints .......................Osseous Survey; Infant ..................................................
77072 77073 77074 77075 77077 77076
Scoliosis 1 view ..............................................................Scoliosis 2 or 3 views .....................................................Scoliosis 4 or 5 views .....................................................Scoliosis minimum 6 views ............................................
72081 72082 72083 72084
Esophagram; Single contrast .........................................Swallowing Function; Videoradiography ........................Colon Examination with KUB; Single contrast .................Colon Examination with KUB; Double contrast ...............Upper GI with KUB; Single contrast ................................Upper GI with KUB; Double contrast .............................Small Bowel Follow-through with Single contrast upper GI ..........................Small Bowel Follow-through with Double contrast Upper GI ........................Small Intestine; Single contrast Barium only ..................Small Intestine; Double contrast (Barium and Air) .........Urography (Pyelography) ...............................................Urography (Retrograde) ................................................Urography (Antegrade) .................................................Injection procedure for Cystography ................Injection procedure for Retrograde Urethrocystography .........................................Injection procedure for Antegrade Urography ..
742207423074270742807424074246
74240 + 74248
74246 + 742487425074251744007442074425
51600 + 74430
51600 + 7445051600 + 74425
Axial Hip and Spin..........................................................Appendicular Wrist and Heal..........................................
77080 77081
CPT CODESX-Ray X-Ray (Continued) Ultrasound (Continued)
Ultrasound
Abdomen - Pelvis
Chest
Vascular Ultrasound
DEXA - Bone Density
Fluoroscopy - Barium
Arterial
Carotid
Duplex
Venous
Spine
Special Bone
Scoliosis
Head - Neck
Upper Extremities
Lower Extremities